| NPI | 1982197265 |
|---|---|
| Other Name | NATHANIEL L LIGHTFOOT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 107982) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 31573) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2024-09-11 |